Bloodclot, case study 2
Whatwent wrong in the case?
Thereare many incidences of misdiagnosis of blood clot, especially when itoccurs in the muscles such as in the leg. Due to complicationsassociated with untreated blood clot, misdiagnosis is a major risk tothe patient life (AmericanHeart Association, nd).The case involves a fifty years old white male who was misdiagnosedin the emergency department as well as by the primary care doctor.Although the pain in the right leg was as a result of a blood clot,it was misdiagnosed as a muscle strain.
Whypatient blood clots continue to be misdiagnosed
Although,the diagnosis was sufficient for the emergency personnel butmisdiagnosis in the second visit to the medical facility could havebeen avoided by the primary care doctor. The fact that the patientwas highly active in his youth and early adult life indicated a riskof blood clot. The patient continued to be misdiagnosed mainlybecause the doctor did not look at the history of the condition.
Howmisdiagnosis could have been prevented.
Toavoid misdiagnosis, it was important for the emergency team or theprimary doctor to look at the history of the condition and thepatient. This includes when and under what circumstances did the painstart and how often has the pain been reoccurring. The medicalhistory of the patient such as cardiovascular diseases will have alsoreduced the risk of misdiagnosis (Courtenay, 2000). In the secondvisit to the medical facility, the primary doctor should have takenthe case seriously and recommend additionally diagnosis procedures.This is because the medication prescribed to relieve the musclestrain was not effective as the patient continued to experience pain.The doctor could have recommended an x ray scan to rule out a case ofosteoarthritis. An ultrasound or venography test should have alsobeen carried out to diagnose a venous thrombosis incidence (Buttaro,et al, 2013).
Recommendationfor treatment options
Oncethe blood clot has been correctly diagnosed the first step would bemanaging pain using acetaminophen or ibuprofen. Depending on thelocation of the clot, a mild treatment such as anticoagulation drugsor an aggressive treatment such as surgery is recommended.
AmericanHeart Association.(n.d.). Retrieved from http://www.heart.org/HEARTORG/#
Buttaro,T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J.(2013). Primarycare: A collaborative practice(4th ed.). St. Louis, MO: Mosby.
Courtenay,M. (2000). Readingand Interpreting the Electrocardiogram. In Advanced nursing skills:Principles and practice.London: Greenwich Medical Media.